A Statewide Prescription Monitoring Program Affects Emergency Department Prescribing Behaviors

摘要: Study objective Ohio recently instituted an online prescription monitoring program, the Automated Rx Reporting System (OARRS), to monitor controlled substance prescriptions within Ohio. This study is undertaken identify influence of OARRS data on clinical management emergency department (ED) patients with painful conditions. Methods prospective quasiexperimental was conducted at University Toledo Medical Center Emergency Department during June July 2008. Eligible participants included ED Patients acute injuries were excluded. After evaluation, and again after presentation data, providers answered a set questions about anticipated pain for patient. Outcome measures changes in opioid other potential factors that influenced prescription. Results Among 179 participants, revealed high numbers narcotics filled most recent 12 months (median 7; range 0 128). Numerous prescribed 3 per patient; 40). had different pharmacies (mean [SD] 3.5 [4.4]). Eighteen are represented study. Four treated 63% (N=114) review changed 41% (N=74) cases. In cases altered management, majority (61%; N=45) resulted fewer or no medications than originally planned, whereas 39% (N=29) more medication previously planned. Conclusion The use from statewide narcotic registry frequently prescribing behavior complaints nontraumatic pain.